NPI 1265806954

Sebandy Pca Services, LLC

Organisation Preferred Provider Organization Rochester, MN

Practice location

Address: 2548 Lisa Ln NE, Rochester, MN 55906-6209
Phone: (651) 383-6764
Fax: (507) 281-1162

Authorised official

Name: Renae Ann Cooley
Title: Owner/Qp/Aa
Phone: (651) 383-6764

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Minnesota →

Registry record

NPI: 1265806954
Entity type: Organization
NPI issued: 18 Nov 2015
Record last updated: 18 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.